| NPI | 1700474715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6851118341) |
| Additional Taxonomies | 156F00000X Technician/Technologist |
| Enumeration Date | 2021-01-05 |
| Last Update Date | 2025-08-26 |