| NPI | 1609359678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401224515) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2018-09-14 |
| Last Update Date | 2024-09-04 |