| NPI | 1407007487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801087625) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6801087625) |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2012-11-05 |