| NPI | 1023766680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 1023766680) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6851114161) |
| Enumeration Date | 2022-03-14 |
| Last Update Date | 2022-04-06 |