| NPI | 1043469836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401000965) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801057288) |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2008-09-16 |