| NPI | 1669143574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6851110948) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801122441) |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2026-06-23 |