| NPI | 1104302322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MI 6361004068) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MI 6301015781) |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2023-02-09 |