| NPI | 1851316509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401005666) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MI 6301009407) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2007-07-08 |