| NPI | 1760698724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6802079989) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401009236) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2025-09-11 |