| NPI | 1215356381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801100769) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO LSW.0009020489) |
| 1041C0700X Social Worker, Clinical (Licence: CO CSW.09925179) | |
| 1041C0700X Social Worker, Clinical (Licence: OR L8541) | |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2026-01-01 |