| NPI | 1467331074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801112411) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW18603) |
| Enumeration Date | 2025-08-28 |
| Last Update Date | 2025-08-28 |