| NPI | 1154779742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801113879) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801113879) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2022-08-05 |