| NPI | 1568781342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401011680) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YS0200X Counselor, School (Licence: MI 187881) | |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2024-09-24 |