| NPI | 1144246083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801034479) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 4101005618) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2007-07-08 |