| NPI | 1649692831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MI 6301015424) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401013629) |
| Enumeration Date | 2014-01-08 |
| Last Update Date | 2014-01-08 |