| NPI | 1245402668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: MI 6401005866) |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2021-05-20 |