| NPI | 1295132967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801095878) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 109508) |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2025-09-15 |