| NPI | 1568092492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 111062) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6802090723) |
| Enumeration Date | 2020-01-20 |
| Last Update Date | 2024-03-12 |