| NPI | 1124544101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801101526) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6801101526) |
| 104100000X Social Worker (Licence: MI 6801101526) | |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2023-05-10 |