| NPI | 1164040382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801117386) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801107030) |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2025-12-15 |