| NPI | 1457860363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401013146) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: MI sc0000000803488) |
| 101YM0800X Counselor, Mental Health (Licence: MI 6401013146) | |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2018-03-17 |