| NPI | 1932753670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WI 2113-124) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 4101006883) |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2023-10-11 |