| NPI | 1912614843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6851112818) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801119522) |
| Enumeration Date | 2022-10-31 |
| Last Update Date | 2025-06-24 |