| NPI | 1891244695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801114695) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI M600778066594) |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2022-11-25 |