| NPI | 1114037082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801002491) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 4101005714) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2022-12-02 |