| NPI | 1265782809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6801099993) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: AZ LCSW-10823) |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2024-03-26 |