| NPI | 1710613013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 108723) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801078645) |
| Enumeration Date | 2022-07-28 |
| Last Update Date | 2025-09-23 |