| NPI | 1780312660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6851118306) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2022-08-09 |
| Last Update Date | 2026-03-27 |