| NPI | 1255629002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801119886) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0001083) |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2025-04-17 |