| NPI | 1982861241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401002474) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 5801065455) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2016-01-15 |