| NPI | 1992189344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801100685) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LCSW00001976) |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2020-05-22 |