| NPI | 1316118540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801002572) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: MI 6801002572) |
| 106H00000X Marriage & Family Therapist (Licence: MI 4101005948) | |
| Enumeration Date | 2008-03-15 |
| Last Update Date | 2008-03-15 |