| NPI | 1053804260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MI 4151001002) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2021-01-11 |