| NPI | 1407089063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA LPC349) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401010672) |
| Enumeration Date | 2009-08-31 |
| Last Update Date | 2013-04-25 |