| NPI | 1295258713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6851118793) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker (Licence: OH S.1600735) | |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2025-07-07 |