| NPI | 1942509823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 64001009275) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802073402) |
| Enumeration Date | 2011-03-18 |
| Last Update Date | 2011-03-18 |