| NPI | 1770146284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6451007253) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802080026) |
| Enumeration Date | 2019-04-19 |
| Last Update Date | 2023-04-17 |