| NPI | 1689485971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 33044) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801119696) |
| Enumeration Date | 2025-01-15 |
| Last Update Date | 2025-05-22 |