| NPI | 1619399581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6802035086) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802035086) |
| Enumeration Date | 2014-01-13 |
| Last Update Date | 2022-03-25 |