| NPI | 1275782468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401010774) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802011985) |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2008-09-12 |