| NPI | 1982051553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801099407) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6801099407) |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2018-05-10 |