| NPI | 1649501503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401011735) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YS0200X Counselor, School | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2015-03-05 |