| NPI | 1952693624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401005370) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6401005370) |
| 106H00000X Marriage & Family Therapist (Licence: MI 6401005370) | |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2011-05-12 |