| NPI | 1285035212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401015148) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health (Licence: MI 6401015148) | |
| 104100000X Social Worker (Licence: MI 6802087243) | |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2021-06-03 |