| NPI | 1932563111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801090607) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 104100000X Social Worker (Licence: MI 6801090607) | |
| 1041S0200X Social Worker, School (Licence: MI 6801090607) | |
| 104100000X Social Worker | |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2026-05-08 |