| NPI | 1942606504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MI 4101006626) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401014533) |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2022-01-13 |