| NPI | 1881318525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 119654) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801122292) |
| Enumeration Date | 2022-09-27 |
| Last Update Date | 2026-07-13 |