| NPI | 1366836405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401010153) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802068992) |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2021-11-21 |