| NPI | 1992869184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801062409) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MI 6301005077) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2025-09-11 |