| NPI | 1598778375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MI 6301010255) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6301010255) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2011-04-27 |