| 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 |