| NPI | 1891854287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401010840) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 6049) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2013-01-15 |