| NPI | 1316563885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801114122) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6801105698) |
| 101YM0800X Counselor, Mental Health (Licence: MI 6801114122) | |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2023-09-13 |