| NPI | 1174767487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801084249) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW009227) |
| 1041C0700X Social Worker, Clinical (Licence: MO 2025013333) | |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2025-09-16 |