| NPI | 1932675436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801119437) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI LCSW-5072) |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2025-01-31 |