| NPI | 1124085097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801067450) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 4101006236) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2012-03-05 |