| NPI | 1629010475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 68101064336) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 1041C0700X Social Worker Clinical (Licence: MI 064336) | |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2024-02-24 |