| NPI | 1871014332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801106055) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6801100920) |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2023-08-30 |