| NPI | 1598956369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401008747) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301013080) |
| 104100000X Social Worker (Licence: MI 6802072238) | |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2007-08-07 |