| NPI | 1932702040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6801118635) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801118635) |
| Enumeration Date | 2020-11-19 |
| Last Update Date | 2024-09-04 |