NPI | 1336257633 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801021518) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 4101005984) |
Enumeration Date | 2006-08-27 |
Last Update Date | 2008-04-01 |