| NPI | 1295491231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 68011021) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC26066) |
| Enumeration Date | 2021-11-15 |
| Last Update Date | 2026-06-22 |