| NPI | 1891916227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MI 6401004455) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: MI 6301008961) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-07-08 |