| NPI | 1033465364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401012936) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301015093) |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2014-06-10 |