| NPI | 1659991537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MI 4101007265) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401222683) |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2023-10-27 |