| NPI | 1740633478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 109559) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801099966) |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2023-09-20 |