| NPI | 1710853288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6851101512) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0903004557) |
| 1041C0700X Social Worker, Clinical (Licence: IN 33009141A) | |
| Enumeration Date | 2025-10-13 |
| Last Update Date | 2025-10-13 |