| NPI | 1770032195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6451016921) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802089229) |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2022-06-07 |