| NPI | 1790223576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801121087) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6851117084) |
| 104100000X Social Worker (Licence: MI 6802089360) | |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2025-10-28 |