| NPI | 1376778894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401010951) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301013814) |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2025-01-10 |