| NPI | 1922891951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801117338) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06387200) |
| Enumeration Date | 2025-05-23 |
| Last Update Date | 2025-05-23 |