| NPI | 1053880179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801114441) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6801098915) |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2023-02-21 |