| NPI | 1487136529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C013728) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801115897) |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2026-07-15 |