| NPI | 1700205580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MI 6401015188) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802086823) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2017-04-26 |