| NPI | 1669879938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 101YM0800X) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6802034178) |
| 101YM0800X Counselor, Mental Health (Licence: MI 104100000) | |
| 101YM0800X Counselor, Mental Health (Licence: MI 101YM0800X) | |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2014-12-02 |