| NPI | 1174528327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401009097) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MI 6301007373) |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2007-10-18 |