| NPI | 1083727192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301004020) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801063007) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2007-07-08 |