| NPI | 1215553748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801122141) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801107051) |
| Enumeration Date | 2020-06-20 |
| Last Update Date | 2026-05-09 |