| NPI | 1740616986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 9601-C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801117937) |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2025-12-09 |