| NPI | 1306329313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801114924) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801114924) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2018-09-14 |
| Last Update Date | 2026-06-29 |