| NPI | 1134557473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801103517) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 149015829) |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2021-09-16 |