| NPI | 1558703272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MI 4151001099) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2023-06-02 |