| NPI | 1205310489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801103412) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801103412) |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2025-09-15 |