| NPI | 1538593322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801109377) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical (Licence: CA LCSW91292) | |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2025-04-20 |