| NPI | 1821214206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 68101080337) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO csw.09923472) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2021-04-26 |