| NPI | 1306007612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401003036) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401003036) |
| 103T00000X Psychologist (Licence: MI 6301006535) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MI 6301006535) | |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2008-06-19 |