| NPI | 1457504847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401011086) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301014035) |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2023-12-12 |