| NPI | 1083508576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801114675) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 199996) |
| 1041C0700X Social Worker, Clinical (Licence: SC 19168) | |
| 1041C0700X Social Worker, Clinical (Licence: TX 119574) | |
| Enumeration Date | 2025-06-07 |
| Last Update Date | 2026-08-03 |