| NPI | 1396868063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401007089) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 4101006259) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2009-03-13 |