| NPI | 1104555275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6851116795) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2022-06-06 |
| Last Update Date | 2026-02-18 |