| NPI | 1528232717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MI 6301009110) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401002275) |
| 163WC0400X Registered Nurse, Case Management (Licence: MI 4704117831) | |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2008-04-17 |