| NPI | 1689108482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801100795) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801100795) |
| 104100000X Social Worker (Licence: WI 130534) | |
| 104100000X Social Worker (Licence: NY 076449) | |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2025-08-31 |