| NPI | 1295131555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6451022883) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2014-11-14 |
| Last Update Date | 2026-08-24 |