| NPI | 1093052169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401012727) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401012727) |
| 104100000X Social Worker (Licence: MI 6803078874) | |
| Enumeration Date | 2013-01-09 |
| Last Update Date | 2013-11-30 |