| NPI | 1598016693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401013187) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MI 6301015213) |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2026-04-03 |