| NPI | 1588038095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801114647) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6801114647) |
| Enumeration Date | 2015-11-20 |
| Last Update Date | 2023-02-09 |