| NPI | 1073661443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401002806 027890) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: 102451 F19774) |
| 104100000X Social Worker (Licence: MI 6802066319) | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-07-08 |