| NPI | 1003559170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801120826) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2022-04-18 |
| Last Update Date | 2026-05-01 |