NPI | 1689829954 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401013791) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 4101006594) |
Enumeration Date | 2008-11-29 |
Last Update Date | 2014-02-20 |