| NPI | 1073119632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6851117943) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: MI SP0000000792258) |
| Enumeration Date | 2020-12-09 |
| Last Update Date | 2026-01-22 |