| NPI | 1831333509 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401012198)  | 
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802074536)  | 
| Enumeration Date | 2009-04-27 | 
| Last Update Date | 2016-11-30 |