| NPI | 1073686432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401000728) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301005889) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2007-07-08 |