| NPI | 1811183601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401010375) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 54002) |
| 106H00000X Marriage & Family Therapist (Licence: CA 54002) | |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2024-01-11 |