| NPI | 1558874925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-21770) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801098668) |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2025-04-23 |