| NPI | 1134109226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401008766) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MI 6301011550) |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2019-12-20 |