| NPI | 1902266349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401011385) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401011385) |
| 101YM0800X Counselor, Mental Health (Licence: MI 6401011385) | |
| 106H00000X Marriage & Family Therapist (Licence: MI 6401011385) | |
| Enumeration Date | 2016-02-27 |
| Last Update Date | 2022-02-16 |