| NPI | 1720149685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401009818) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401009818) |
| 103T00000X Psychologist (Licence: MI 6361000886) | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2024-01-11 |