| NPI | 1356473557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401008713) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: MI 6301012448) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2007-07-08 |