| NPI | 1700051562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WI 1114-124) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 4101006299) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2019-03-04 |