| NPI | 1487997797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MI 6401012098) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802073487) |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2013-04-04 |