| NPI | 1245801521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6851110472) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: 6851110472) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801110472) | |
| Enumeration Date | 2021-07-07 |
| Last Update Date | 2024-10-03 |