| NPI | 1164099719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801117150) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6851109990) |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2026-01-12 |