| NPI | 1992415467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801120050) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6851114494) |
| Enumeration Date | 2022-11-25 |
| Last Update Date | 2025-07-08 |