| NPI | 1831633668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6801109726) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801100022) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801100022) | |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2023-09-13 |