| NPI | 1346834108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MI 4101007430) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KS 03242-T) |
| Enumeration Date | 2021-02-23 |
| Last Update Date | 2024-02-21 |