| NPI | 1376982157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI #6401009354) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MI 6301012846) |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2022-07-21 |