| NPI | 1295074490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TX 109171) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MI 6801094654) |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2023-09-20 |