| NPI | 1083095954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801117171) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801117171) |
| 247200000X Technician, Other | |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2026-01-14 |