| NPI | 1588961502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401007327) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401007327) |
| 106H00000X Marriage & Family Therapist (Licence: MI 6401007327) | |
| Enumeration Date | 2011-02-28 |
| Last Update Date | 2012-04-10 |