| NPI | 1427621150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6851110624) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6851110624) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2021-07-22 |