| NPI | 1417694175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801107830) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34011503A) |
| Enumeration Date | 2022-05-15 |
| Last Update Date | 2025-08-14 |