| NPI | 1336873082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801114304) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 4890659) |
| Enumeration Date | 2022-07-10 |
| Last Update Date | 2025-08-23 |