| NPI | 1750983193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801118054) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C015866) |
| 171400000X Health & Wellness Coach | |
| Enumeration Date | 2020-11-11 |
| Last Update Date | 2024-09-17 |