| NPI | 1730351180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401004904) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801058296) |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2008-03-26 |