| NPI | 1841924735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801120063) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6851107560) |
| Enumeration Date | 2022-07-15 |
| Last Update Date | 2025-08-01 |