| NPI | 1811488877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MI 4101006796) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 001258-1) |
| Enumeration Date | 2018-05-25 |
| Last Update Date | 2018-06-06 |