| NPI | 1205418290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801116626) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801110364) |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 101YM0800X Counselor, Mental Health | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2021-04-28 |
| Last Update Date | 2026-09-14 |