| NPI | 1699377671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801122448) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6852093382) |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2020-11-13 |
| Last Update Date | 2026-08-03 |