| NPI | 1811280688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401008203) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 4101006252) |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2024-09-20 |