| NPI | 1467886499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 11332) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801087989) |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2025-11-06 |