| NPI | 1104260942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: FL SW13193) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801094264) |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2020-03-04 |