| NPI | 1518325398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801116038) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149019993) |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2026-05-28 |