| NPI | 1023572682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801103666) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.028410) |
| 1041C0700X Social Worker, Clinical (Licence: MN 34449) | |
| 1041C0700X Social Worker, Clinical (Licence: RI ISW04472) | |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2026-02-19 |