| NPI | 1790263861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801119219) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801103075) |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2025-02-24 |