| NPI | 1861883555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C013373) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801108419) |
| Enumeration Date | 2015-02-17 |
| Last Update Date | 2025-12-09 |