| NPI | 1548641533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MI 4101007485) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 131089) |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2025-02-12 |