| NPI | 1033134960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 013491) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2012-09-12 |