| NPI | 1477245843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MI 4151001091) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6451022828) |
| Enumeration Date | 2023-05-24 |
| Last Update Date | 2023-05-24 |