| NPI | 1851353775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801015430) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 4101006013) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2014-03-10 |