| NPI | 1871734962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401007597) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: MI 6401007597) | |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2018-08-30 |