| NPI | 1053927350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MI 4101007356) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704220828) |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2023-06-12 |