| NPI | 1154650554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MI 4101006434) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI L1636331) |
| Enumeration Date | 2009-12-14 |
| Last Update Date | 2022-06-27 |