| NPI | 1659557015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801005295) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 4101005094) |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2008-01-16 |