| NPI | 1194192674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401014679) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 8419) |
| 101YP2500X Counselor, Professional (Licence: TN 2075) | |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2015-08-31 |