| NPI | 1023178050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1600033) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.0014934) |
| 101Y00000X Counselor (Licence: MI 6401013546) | |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2016-09-03 |