| NPI | 1659960136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MI 6451022116) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 4151001014) |
| Enumeration Date | 2021-01-11 |
| Last Update Date | 2024-07-08 |