| NPI | 1285754390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401007758) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MI 6301011490) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2007-07-08 |