| NPI | 1467514307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MI 4101005946) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801005941) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2025-09-11 |