NPI | 1275026247 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MI 4101007012) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401020223) |
Enumeration Date | 2018-06-13 |
Last Update Date | 2025-02-10 |