| NPI | 1649892548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MI 4101006919) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 1685) |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2020-05-13 |