| NPI | 1760726970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MI 6301015310) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401013299) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |