| NPI | 1760011142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6801085247) |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2021-02-05 |