| NPI | 1962926527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6852094355) |
| Additional Taxonomies | 104100000X Social Worker |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2025-08-12 |