| NPI | 1245981794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801096259) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW61208408) |
| Enumeration Date | 2022-01-17 |
| Last Update Date | 2025-02-10 |