| NPI | 1184144123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 8676-123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801120163) |
| 1041C0700X Social Worker, Clinical (Licence: MO 2024047972) | |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2026-03-09 |