A second doctor and his wife were arrested Friday in Detroit in a case involving female genital mutilation (FGM) on minors, WJBK reported.

Fakhruddin Attar owns a medical clinic in Livonia, Michigan and is on staff at St. Mercy Livonia Hospital, The Detroit News reported. He has been placed on leave. His wife Farida Attar was the office manager at his Livonia clinic.

The couple were charged with conspiring with Dr. Jumana Nagarwala. Nagarwala was arrested last week for performing FGM at Attar’s Livonia clinic. Farida Attar allegedly assisted in the procedures. 

Last week the Justice Department announced that Nagarwala was the first person in the U.S. to be charged under the 1996 law banning FGM. It also said Nagarwala’s victims were between 6 and 8 years old. It announced the Attars’ arrest Friday.

Nagarwala’s arrest followed an FBI investigation revealing that young girls had been driven across state lines to undergo FGM at the Livonia clinic. As Town Hall reported Friday, victims were told they were going on a “girls’ trip.” They were taken to Nagarwala under the guise of a stomach ache and told FGM would “get the germs out.” Parents also told the girls not to tell anyone.

A criminal complaint suggests even more people are involved in the conspiracy to perform FGM on minors.

According to investigators, Nagarwala could have been performing FGM since 2005, NBC reported. At the time of her arrest Nagarwala was listed as an emergency room doctor on Henry Ford Health System’s website, The Detroit News reported. A Henry Ford spokesman said she was placed on administrative leave after the arrest.

Nagarwala and the Attars are members of the Dawoodi Bohra sect of Islam and attend a mosque in Farmington Hills, Michigan. The Dawoodi Bohra community is concentrated in India but also has members U.S. and Europe, NBC reported, noting that FGM is a “divisive” issue among members. The Detroit News reported that two years ago, the sect was involved in a mutilation scandal in Australia. Nagarwala’s FGM victims are believed to belong to the same religious group.

FGM usually occurs in Africa, Asia and the Middle East. Over 200 million women and girls alive today have undergone the procedure. The practice is painful, medically unnecessary and considered a violation of human rights. Nagarwala’s attorneys argued this week that the religious procedure she performed was not actually mutilation.

In 2012, over 500,000 women and girls were at risk for undergoing FGM in the U.S., according to the Centers for Disease Control and Prevention.