| NPI | 1619317096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401013120) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6351004342) |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2023-08-08 |