| NPI | 1235448499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6361001135) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MI 6301014526) |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2022-10-14 |