| NPI | 1184128555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MI 4151000705) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2020-08-27 |