| NPI | 1750561403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401013292) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301010353) |
| Enumeration Date | 2007-11-10 |
| Last Update Date | 2024-05-10 |