| NPI | 1578697603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801070523) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 4101006173) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2007-07-08 |