| NPI | 1831451608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401010617) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301013906) |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2021-09-11 |