| NPI | 1851412977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401014804) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6802074657) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2021-11-18 |