| NPI | 1174208672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801120488) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 651111084) |
| Enumeration Date | 2023-06-21 |
| Last Update Date | 2025-10-13 |