| NPI | 1023357209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401009231) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 65943) |
| 101YS0200X Counselor, School (Licence: MI SC000800) | |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2013-02-07 |