| NPI | 1740467935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301005392) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401001613) |
| 104100000X Social Worker (Licence: MI 6801018087) | |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2008-01-30 |