| NPI | 1316268923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 4101006678) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 225400000X Rehabilitation Practitioner | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2016-02-19 |