| NPI | 1568517175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401010934) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301012174) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2024-02-10 |