| NPI | 1326353285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MI 4101006415) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 845-124) |
| 101YP2500X Counselor, Professional (Licence: MI 6401014076) | |
| Enumeration Date | 2010-08-16 |
| Last Update Date | 2023-11-06 |