| NPI | 1235897802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 11805123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801117648) |
| Enumeration Date | 2021-12-01 |
| Last Update Date | 2026-02-16 |