| NPI | 1235857756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MI 22222040801) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 4151001067) |
| Enumeration Date | 2022-08-19 |
| Last Update Date | 2025-12-15 |