| NPI | 1477047470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801113522) |
| Additional Taxonomies | 101YP1600X Counselor Pastoral |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2021-12-02 |