| NPI | 1285765594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801106595) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401007424) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2022-04-25 |