| NPI | 1831669134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251B00000X Case Management (Licence: MI 4101006779) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 4151000365) |
| Enumeration Date | 2018-11-29 |
| Last Update Date | 2022-03-03 |