| NPI | 1114080587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401008195) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802058978) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2022-12-20 |