| NPI | 1184001950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MI 4101007584) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 117433) |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2025-09-30 |