| NPI | 1659517944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401012259) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401012259) |
| 103T00000X Psychologist (Licence: MI 6351000427) | |
| 221700000X Art Therapist (Licence: MI 08-156) | |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2022-08-12 |