| NPI | 1902545494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801118773) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6851115114) |
| Enumeration Date | 2022-06-02 |
| Last Update Date | 2025-08-14 |