| NPI | 1588118038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801093258) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6801093258) |
| 101YP2500X Counselor, Professional (Licence: MI 6801093258) | |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2023-12-28 |