| NPI | 1588055768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401013513) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MI 6401013513) |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2019-10-15 |