| NPI | 1326557323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6451019443) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 4101006826) |
| 106H00000X Marriage & Family Therapist (Licence: MI 4151000199) | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2024-03-04 |