| NPI | 1619025194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401008587) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802085686) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-07-08 |