| NPI | 1285228684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6801096136) |
| Enumeration Date | 2021-02-25 |
| Last Update Date | 2022-08-31 |