| NPI | 1821837832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: MI 6801109772) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6801109772) |
| 104100000X Social Worker (Licence: MI 6801109772) | |
| 106H00000X Marriage & Family Therapist (Licence: MI 6801109772) | |
| Enumeration Date | 2024-05-20 |
| Last Update Date | 2024-11-02 |