| NPI | 1386298115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801116896) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C013820) |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2025-05-06 |