| NPI | 1568717270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MI 4101006643) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CT 1670) |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2015-04-27 |