| NPI | 1760127211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801120279) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6851106360) |
| Enumeration Date | 2022-04-29 |
| Last Update Date | 2025-06-05 |