| NPI | 1326305806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801098545) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180-004396) |
| 101YP2500X Counselor, Professional (Licence: MI 6401010578) | |
| 104100000X Social Worker (Licence: MI 6801098545) | |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2023-08-04 |