| NPI | 1942752589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MI 4101006706) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401015712) |
| Enumeration Date | 2016-10-31 |
| Last Update Date | 2016-10-31 |