| NPI | 1659787919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801122683) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: MI 6802088235) |
| 101YM0800X Counselor, Mental Health (Licence: MI 6801105692) | |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2026-08-05 |