| NPI | 1205497088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801114972) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801104896) |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2025-10-13 |