| NPI | 1447520879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801119479) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OK 5750) |
| Enumeration Date | 2012-01-02 |
| Last Update Date | 2025-04-18 |