| NPI | 1699012120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MI 4101006725) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2019-10-27 |