| NPI | 1356479869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801021077) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 4101005934) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2018-03-19 |