| NPI | 1558423681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401014238) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401014238) |
| 103T00000X Psychologist (Licence: MI 6361000523) | |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2024-05-08 |