| NPI | 1134337595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801093413) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6801093413) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2013-09-11 |