| NPI | 1982497558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09932076) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801120811) |
| Enumeration Date | 2025-05-27 |
| Last Update Date | 2025-10-08 |