| NPI | 1659439073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801018476) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI SW 6801018476) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2010-11-03 |