| NPI | 1447330840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801065314) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401007866) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2024-06-11 |