| NPI | 1306971957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI LMSW6801012420) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI LMFT4101005696) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2007-07-08 |