| NPI | 1023461290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 247200000X Technician, Other (Licence: MI R200468744552) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6851115052) |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2025-07-23 |