| NPI | 1518323021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801085755) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 6801085755) |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2022-07-21 |