| NPI | 1902351869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801114418) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C015283) |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2025-11-20 |