| NPI | 1972146835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW89863) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801098314) | |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2026-04-02 |