| NPI | 1609225622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801113614) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 83277) |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2024-04-23 |