| NPI | 1548761745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801101827) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 9148) |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2025-10-17 |