| NPI | 1316360472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801110544) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6801110544) |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2026-01-09 |