| NPI | 1215187000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6801085566) |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2016-10-11 |