| NPI | 1073017281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401018307) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MI 6401018307) |
| 106H00000X Marriage & Family Therapist (Licence: MI 4101006787) | |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2023-10-12 |