| NPI | 1194118190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MI 4101006801) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT2983) |
| Enumeration Date | 2015-03-15 |
| Last Update Date | 2018-09-14 |