| NPI | 1003321357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401010407) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802076257) |
| Enumeration Date | 2017-12-08 |
| Last Update Date | 2017-12-08 |