| NPI | 1841544590 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401008137) | 
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802066043) | 
| Enumeration Date | 2012-11-02 | 
| Last Update Date | 2012-11-02 |