| NPI | 1265607808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401010817) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 6401010817) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2015-10-09 |