| NPI | 1386149953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401010636) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6803083952) |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2018-06-16 |