| NPI | 1952448334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801061697) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6801061697) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2018-07-27 |