| NPI | 1457958472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801119335) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI 3613) |
| Enumeration Date | 2020-10-02 |
| Last Update Date | 2025-05-21 |