| NPI | 1508194903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801046858) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401007524) |
| Enumeration Date | 2009-11-23 |
| Last Update Date | 2009-11-23 |