| NPI | 1669884169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801096597) |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2026-06-19 |