| NPI | 1831521566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401013676) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 4101006578) |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2020-05-04 |