| NPI | 1639614381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801105593) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801105593) |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist (Licence: MI 6801105593) | |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2023-10-26 |