| NPI | 1407006489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MI 640101001) |
| Additional Taxonomies | 101YS0200X Counselor School (Licence: MI SC0000531) |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2020-02-09 |