| NPI | 1689711178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401006046) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MI 6301009757) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2016-01-22 |