| NPI | 1568768596 |
|---|---|
| Former Name | MARIA ANN KISS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI LLPC L1845750) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI L2092957) |
| 101YM0800X Counselor, Mental Health (Licence: MI TLLP L1832600) | |
| Enumeration Date | 2011-02-09 |
| Last Update Date | 2015-07-27 |