| NPI | 1750529780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MI 6301003389) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401006387) |
| Enumeration Date | 2009-01-29 |
| Last Update Date | 2009-01-29 |