| NPI | 1366022261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801119394) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801108208) |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2026-07-08 |