| NPI | 1952328601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801013376) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 4101005183) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2008-10-14 |