| NPI | 1538310305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301014982) |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2016-01-13 |