| NPI | 1235731902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801115328) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IN 33009903A) |
| 101Y00000X Counselor (Licence: MI 6851110782) | |
| Enumeration Date | 2020-11-09 |
| Last Update Date | 2024-02-28 |