| NPI | 1124706213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6851116183) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MI 6851116183) |
| Enumeration Date | 2023-07-07 |
| Last Update Date | 2024-08-30 |