| NPI | 1235581505 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 104100000X Social Worker (Licence: CO CSW.09926937)  | 
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801099899)  | 
| Enumeration Date | 2016-07-11 | 
| Last Update Date | 2023-04-26 |