| NPI | 1811449770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW19723) |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801097817) | |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2025-09-09 |