| NPI | 1285355313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MI 6801108441) |
| Enumeration Date | 2022-09-07 |
| Last Update Date | 2022-09-07 |