| NPI | 1891347837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801116615) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801104812) |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2026-07-31 |