| NPI | 1558438689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801069412) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL TPSW7180) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2026-08-23 |