| NPI | 1609747609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW025840) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801097217) |
| Enumeration Date | 2025-09-15 |
| Last Update Date | 2025-09-15 |