| NPI | 1417167065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MI 4101006266) |
| Additional Taxonomies | 103TF0000X Psychologist, Family (Licence: MI 6301010528) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2013-02-18 |