| NPI | 1396973988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW003493) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801084326) |
| 103T00000X Psychologist (Licence: MI 6362009715) | |
| 1041S0200X Social Worker, School (Licence: GA 400719) | |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2025-10-14 |