| NPI | 1902011109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401000759) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401000759) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801058736) | |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2022-09-29 |