| NPI | 1619495850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 69712) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801101337) |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2020-09-09 |