| NPI | 1609493659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 69327) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801121453) |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2026-06-30 |