| NPI | 1548042757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MI 4151001083) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 4151001083) |
| 101YP2500X Counselor, Professional (Licence: MI 4151001083) | |
| Enumeration Date | 2023-10-23 |
| Last Update Date | 2023-10-24 |