| NPI | 1891505392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6851119169) |
| Enumeration Date | 2025-01-08 |
| Last Update Date | 2026-04-09 |