| NPI | 1487639654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401009125) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401009125) |
| 101YM0800X Counselor, Mental Health (Licence: MI 6401009125) | |
| 101YS0200X Counselor, School (Licence: MI 6401009125) | |
| Enumeration Date | 2005-12-10 |
| Last Update Date | 2012-12-12 |