| NPI | 1225816572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR R11398) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: MI 2024375) |
| 101YM0800X Counselor, Mental Health (Licence: FL IMH27042) | |
| 171M00000X Case Manager/Care Coordinator (Licence: MI 6853088696) | |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2025-10-14 |