| NPI | 1750680211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801100349) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401015959) |
| 103T00000X Psychologist (Licence: MI 103T00000x) | |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2022-07-21 |