| NPI | 1275847964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801068771) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801068771) |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2026-03-02 |