| NPI | 1053980326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801110578) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801104320) |
| Enumeration Date | 2021-06-22 |
| Last Update Date | 2026-08-18 |