| NPI | 1134808116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI HS-BCP-7620) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6803088987) |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2025-12-23 |