| NPI | 1922448844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 63477) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801093551) |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2021-07-13 |