| NPI | 1538668611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MI 4101006782) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KY 266692) |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2021-02-04 |