| NPI | 1407552805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 6851115876) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6851115876) |
| Enumeration Date | 2023-02-07 |
| Last Update Date | 2025-11-17 |