| NPI | 1497262646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MI 6401016323) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 4101006768) |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2018-01-09 |