| NPI | 1992290514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401011418) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MI 6401011418) |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2024-09-24 |