| NPI | 1477039600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801102431) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904019231) |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2025-11-24 |