| NPI | 1003129727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801099047) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NC P005874) |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2025-02-05 |