| NPI | 1942483698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801069814) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 4190) |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2026-07-07 |