| NPI | 1962961771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AL 1726) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 4101006757) |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2026-04-02 |