| NPI | 1972500502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MI 4101005992) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801046577) |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2025-09-11 |