| NPI | 1124328901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401009588) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6401009588) |
| Enumeration Date | 2010-10-27 |
| Last Update Date | 2010-10-27 |