| NPI | 1881234359 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801112400)  | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6851105216)  | 
| 1041C0700X Social Worker, Clinical (Licence: MI 6801105216)  | |
| Enumeration Date | 2020-01-13 | 
| Last Update Date | 2025-10-07 |