NPI | 1194823062 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801020178) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 4101006042) |
Enumeration Date | 2006-09-21 |
Last Update Date | 2007-07-08 |