| NPI | 1497401467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 41090) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MN 30796) |
| 1041C0700X Social Worker, Clinical (Licence: IA 112802) | |
| 104100000X Social Worker (Licence: MI 6801114164) | |
| Enumeration Date | 2022-02-28 |
| Last Update Date | 2025-10-06 |