| NPI | 1780956995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MI 64011012669) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MI 6401012669) |
| 101YP1600X Counselor Pastoral (Licence: MI 6401012669) | |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2018-03-17 |