| NPI | 1932269099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 091298-01) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI LMSW 6801090559) |
| 104100000X Social Worker (Licence: MI 6801090559) | |
| 101YM0800X Counselor, Mental Health (Licence: CA ASW 19984) | |
| 101YM0800X Counselor, Mental Health (Licence: MI LLMSW 6801090559) | |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2025-03-24 |