| NPI | 1154107282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 12063-123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801120025) |
| 1041C0700X Social Worker, Clinical (Licence: MN 28976) | |
| Enumeration Date | 2023-09-05 |
| Last Update Date | 2025-08-05 |