| NPI | 1427772458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6451022536) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 4151001071) |
| Enumeration Date | 2022-10-03 |
| Last Update Date | 2024-02-14 |