| NPI | 1316446354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW16901) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801121439) |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2026-01-06 |