| NPI | 1730506908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MI 4101006465) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301013877) |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2014-03-25 |