| NPI | 1962988337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801114927) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801107327) |
| 104100000X Social Worker (Licence: MI 6802090021) | |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2026-05-14 |