| NPI | 1033251145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401017155) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: MI 6802078416) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2019-03-19 |