| NPI | 1730810029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2507532) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801121223) |
| Enumeration Date | 2022-06-18 |
| Last Update Date | 2026-06-13 |