| NPI | 1972372233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801120724) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6851106709) |
| Enumeration Date | 2023-12-28 |
| Last Update Date | 2025-09-19 |