| NPI | 1922328996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401006094) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301005725) |
| 104100000X Social Worker (Licence: MI 6801006671) | |
| Enumeration Date | 2010-06-01 |
| Last Update Date | 2011-07-25 |