| NPI | 1780472019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801092037) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MI 6801092037) |
| Enumeration Date | 2025-04-28 |
| Last Update Date | 2025-08-16 |