| 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 |