| 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 | 2024-07-11 |