| NPI | 1629293261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401011614) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH8108) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2009-11-05 |