| NPI | 1861161143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801120192) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6851111156) |
| 104100000X Social Worker | |
| Enumeration Date | 2021-09-09 |
| Last Update Date | 2025-05-14 |