| NPI | 1518324839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401014102) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401014102) |
| 101YP2500X Counselor, Professional (Licence: MI 6401014102) | |
| 106H00000X Marriage & Family Therapist (Licence: MI 6401014102) | |
| Enumeration Date | 2016-01-16 |
| Last Update Date | 2016-05-10 |