| NPI | 1871552463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801014722) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401006164) |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2011-04-28 |