| NPI | 1225381080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: MI 6301012348) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NC 9805) |
| 101YP2500X Counselor Professional (Licence: MI 6401016887) | |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2022-11-09 |