| NPI | 1235575507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401004688) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802082887) |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2013-05-14 |