| NPI | 1538594015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801095960) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW22225) |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2025-05-22 |