NPI | 1316415441 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801115501) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MI 6801107967) |
175T00000X Peer Specialist | |
Enumeration Date | 2018-11-07 |
Last Update Date | 2023-08-24 |