| NPI | 1467996900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6401014462) |
| Enumeration Date | 2016-12-16 |
| Last Update Date | 2022-10-17 |