| NPI | 1376041582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 125893) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801115599) |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2026-05-15 |