| NPI | 1780697078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401005567) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401005567) |
| 101Y00000X Counselor (Licence: MI 6401005567) | |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2011-03-04 |