| NPI | 1871772426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: MI 6301013500) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MI 6401010705) |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2015-03-03 |