| NPI | 1134508872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401014878) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 4101006658) |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2022-08-03 |