| 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 | 2025-09-05 |