| NPI | 1316040942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801115605) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 8712) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2025-05-30 |