| NPI | 1528616224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MI 4101007316) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 4151000523) |
| 106H00000X Marriage & Family Therapist (Licence: MI 4101006885) | |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2022-11-11 |