| NPI | 1194383802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801108006) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801102859) |
| 104100000X Social Worker (Licence: MI 6801108006) | |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2026-06-03 |