| NPI | 1295401776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801112260) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY 064138) |
| Enumeration Date | 2021-08-17 |
| Last Update Date | 2021-12-22 |