| NPI | 1558615666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401004703) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802057679) |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2012-10-29 |