| NPI | 1184051633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401012930) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MI 6301015087) |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2021-05-13 |