| NPI | 1063650414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401007429) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802083345) |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2009-01-22 |