| NPI | 1912664913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801122596) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6851109867) |
| Enumeration Date | 2021-11-24 |
| Last Update Date | 2026-07-13 |