| NPI | 1427273648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401009748) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301013130) |
| Enumeration Date | 2007-04-14 |
| Last Update Date | 2009-10-05 |