| NPI | 1376650507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801060472) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401002128) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2014-03-03 |