| NPI | 1417348475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 247200000X Technician, Other |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 4151001213) |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2026-03-04 |