| NPI | 1033417480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6361002939) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301012126) |
| Enumeration Date | 2011-03-09 |
| Last Update Date | 2024-03-19 |