| NPI | 1053795062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401014750) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6803063798) |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2023-06-15 |