| NPI | 1174299705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801121563) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.2507413) |
| Enumeration Date | 2021-08-23 |
| Last Update Date | 2026-03-04 |