| NPI | 1477877363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: MI 6301011709) |
| Additional Taxonomies | 101YP1600X Counselor Pastoral (Licence: MI 6301011709) |
| 106H00000X Marriage & Family Therapist (Licence: MI 6301011709) | |
| Enumeration Date | 2010-03-21 |
| Last Update Date | 2010-03-21 |