| NPI | 1336213438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6361004654) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MI 6361004654) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2025-08-27 |