| NPI | 1861898645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 134036) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.2203808) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801066994) | |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2025-12-03 |