| NPI | 1912386822 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401015065) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| 171M00000X Case Manager/Care Coordinator (Licence: MI 6803086712) | |
| Enumeration Date | 2015-05-26 | 
| Last Update Date | 2025-07-09 |