| NPI | 1922311950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MI L1638128) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI L1808948) |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2010-07-19 |