| NPI | 1356708929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401009281) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401009281) |
| 101YS0200X Counselor, School (Licence: MI 6401009281) | |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2016-01-27 |