| NPI | 1508923699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801011657) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401009826) |
| 101YP2500X Counselor, Professional (Licence: MI 6401009826) | |
| 103T00000X Psychologist (Licence: MI 6301003756) | |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2016-06-01 |