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 |