| NPI | 1174475131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801121620) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 12555154-3501) |
| Enumeration Date | 2026-02-12 |
| Last Update Date | 2026-06-25 |