| NPI | 1407621337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801116943) |
| Enumeration Date | 2023-11-21 |
| Last Update Date | 2025-06-11 |