| NPI | 1821553280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 19074) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801110225) |
| Enumeration Date | 2019-02-09 |
| Last Update Date | 2026-08-20 |