| NPI | 1033896592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801118812) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6851114065) |
| Enumeration Date | 2023-06-28 |
| Last Update Date | 2026-02-03 |