| NPI | 1396805933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801034873) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 4101005585) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2007-07-08 |