NPI | 1003111204 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401012702) |
Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802085554) |
Enumeration Date | 2011-01-19 |
Last Update Date | 2023-07-12 |