| NPI | 1497442206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801059944) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401000467) |
| 101YP2500X Counselor, Professional (Licence: MI 6401000467) | |
| 104100000X Social Worker (Licence: MI 6801059944) | |
| 171400000X Health & Wellness Coach | |
| Enumeration Date | 2023-04-20 |
| Last Update Date | 2023-04-20 |