| NPI | 1225400179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401009838) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802084238) |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2015-10-30 |