| NPI | 1548459365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI L705955) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI L1073750) |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2007-10-17 |