| NPI | 1700299898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401014080) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MI 6301015621) |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2021-04-17 |