| NPI | 1730405515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401011824) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MI 6361005976) |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2024-02-24 |