| NPI | 1215193834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO 0001304) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MI 2046411) |
| 106H00000X Marriage & Family Therapist (Licence: MI 4101006315) | |
| Enumeration Date | 2008-08-03 |
| Last Update Date | 2016-03-28 |