| NPI | 1730516964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6802067875) |
| Additional Taxonomies | 101YS0200X Counselor School (Licence: MI 6401002004) |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2013-10-02 |