| NPI | 1376136713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801117445) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801108867) |
| Enumeration Date | 2021-02-17 |
| Last Update Date | 2026-06-03 |