| NPI | 1881206167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801112280) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MI 6801105388) |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2023-02-17 |