| NPI | 1134895584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 6851110739) |
| Enumeration Date | 2021-08-17 |
| Last Update Date | 2021-08-17 |