| NPI | 1376536367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801013579) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 2-00035) |
| 104100000X Social Worker (Licence: MI Gender Identity Spec) | |
| 1041C0700X Social Worker, Clinical (Licence: MI 6810103579) | |
| 106H00000X Marriage & Family Therapist (Licence: MI 4101005512) | |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2023-05-16 |