| NPI | 1013160159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6301011744) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301011744) |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2018-07-31 |