| NPI | 1376359323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 21245) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801119728) |
| Enumeration Date | 2024-12-05 |
| Last Update Date | 2025-09-22 |