| NPI | 1881739605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MI 6401006379) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MI 6401006379) |
| 103T00000X Psychologist (Licence: MI 6301010138) | |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2022-05-18 |