| NPI | 1093294860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MI 4101006933) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 4101006811) |
| Enumeration Date | 2018-08-12 |
| Last Update Date | 2023-07-17 |