| NPI | 1558047407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6851102888) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MN 24891) |
| Enumeration Date | 2023-06-26 |
| Last Update Date | 2024-11-11 |