| NPI | 1437789468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MI 4101006996) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MI C-03943) |
| 106H00000X Marriage & Family Therapist (Licence: CA 117145) | |
| Enumeration Date | 2020-01-17 |
| Last Update Date | 2022-09-07 |