| NPI | 1932755436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401016929) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401016929) |
| 106H00000X Marriage & Family Therapist (Licence: MI 6401016929) | |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2019-08-12 |