| NPI | 1326087255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801011593) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301002418) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2017-02-06 |