| NPI | 1265090955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801119036) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801103305) |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2025-06-11 |