| NPI | 1538552609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6851117124) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2025-05-14 |