| NPI | 1992020721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401006224) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301006183) |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2010-04-05 |