| NPI | 1508257353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801094934) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801094934) |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2026-04-27 |