| NPI | 1316356074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MI 6401011969) |
| Additional Taxonomies | 101YS0200X Counselor School (Licence: MI PF0000000783549) |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2015-06-15 |