| NPI | 1508318015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401003073) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 682001046) |
| Enumeration Date | 2016-10-31 |
| Last Update Date | 2022-01-20 |