| NPI | 1639869159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61641979) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801121420) |
| Enumeration Date | 2023-05-09 |
| Last Update Date | 2025-12-15 |