| NPI | 1184782831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401008539) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: MI 80393) |
| 104100000X Social Worker (Licence: MI 6801073303) | |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2009-09-18 |