| NPI | 1043685365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MI 6362009684) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2015-12-11 |
| Last Update Date | 2025-07-07 |