| NPI | 1851518039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401010055) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NC 4089) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2022-09-20 |