NPI | 1114056918 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801018746) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 4101005306) |
Enumeration Date | 2007-03-05 |
Last Update Date | 2008-09-12 |