| NPI | 1588803779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801085224) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 23102) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904018562) | |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2026-03-03 |