| NPI | 1003173063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MI 6301014114) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401011218) |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2020-10-22 |