| NPI | 1760449243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 1760449243) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker (Licence: MI 6801020662) | |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2023-06-08 |