| NPI | 1447540877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: MI 6301013810) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MI C00803) |
| 101YS0200X Counselor School (Licence: MI 6301013810) | |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2011-04-19 |