| NPI | 1922756931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801120448) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801120448) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149028801) | |
| Enumeration Date | 2022-03-17 |
| Last Update Date | 2026-03-26 |