| NPI | 1003810912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801034974) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401003601) |
| 103TP0814X Psychologist, Psychoanalysis | |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2011-10-17 |