| NPI | 1932734357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MI 4101007262) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 4101006921) |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2022-06-20 |