| NPI | 1477781664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 1340) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 4101006286) |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2012-12-31 |