| NPI | 1871004671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401018910) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401016368) |
| 106H00000X Marriage & Family Therapist (Licence: MI 4101006731) | |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2021-07-01 |