| NPI | 1578226874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801118851) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2021-10-14 |
| Last Update Date | 2025-05-30 |