| NPI | 1023334794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801085778) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6801085778) |
| 101YP2500X Counselor, Professional (Licence: MI 6801085778) | |
| 104100000X Social Worker | |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2010-04-20 |