| NPI | 1942806583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801119507) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 259050) |
| Enumeration Date | 2020-12-09 |
| Last Update Date | 2025-02-05 |