| NPI | 1740794916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801116841) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 12153) |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2025-08-21 |