| NPI | 1598980195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI LPC6401010104) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MI TLLP6301013292) |
| 106H00000X Marriage & Family Therapist (Licence: CA MFC37620) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2007-07-08 |