| NPI | 1245536580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI L2470511) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6802085993) |
| Enumeration Date | 2011-02-03 |
| Last Update Date | 2013-07-23 |