| NPI | 1184199887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MI 4101007116) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 4101006740) |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2021-03-02 |