| NPI | 1134904972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401015001) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 4101007646) |
| Enumeration Date | 2023-08-29 |
| Last Update Date | 2026-01-13 |