| NPI | 1114155330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MI L1393931) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401011020) |
| 101YP2500X Counselor, Professional (Licence: MI L1556549) | |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2023-09-29 |