| NPI | 1548304827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801061776) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 4101006105) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2019-01-07 |