| NPI | 1083048441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401019075) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401019075) |
| 104100000X Social Worker (Licence: MI 6802087828) | |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2023-03-02 |