| NPI | 1285690685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801020585) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 106H00000X Marriage & Family Therapist (Licence: MI 4101005896) | |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2019-05-08 |