| NPI | 1467800987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801120511) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 12536123) |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2025-08-25 |