| NPI | 1740829936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801120327) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 34343) |
| Enumeration Date | 2020-01-06 |
| Last Update Date | 2026-04-03 |