| NPI | 1639461585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401011052) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 401011052) |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2011-05-11 |