| NPI | 1821237090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MI 4101006638) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 52836) |
| 106H00000X Marriage & Family Therapist (Licence: CO .0001320) | |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2018-07-18 |