| NPI | 1780859769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801091513) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MI 6801091513) |
| 101YM0800X Counselor Mental Health (Licence: FL SW11519) | |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2020-06-08 |