| NPI | 1649550203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MI 6301013980) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6301013980) |
| 101YM0800X Counselor, Mental Health (Licence: MI 6301013980) | |
| Enumeration Date | 2011-08-26 |
| Last Update Date | 2011-08-26 |