| NPI | 1457575060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401003550) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801064646) |
| 106H00000X Marriage & Family Therapist (Licence: MI 4101005366) | |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2007-07-08 |