| NPI | 1093814824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801005123) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 4101005894) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2010-08-16 |