| NPI | 1265971121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401017274) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 640105926) |
| 106H00000X Marriage & Family Therapist (Licence: MI 4101007178) | |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2023-03-17 |