| NPI | 1326341215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MI 6301014740) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI P520447650254) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI C-02759) | |
| Enumeration Date | 2010-12-15 |
| Last Update Date | 2016-04-18 |