| NPI | 1124474820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MI 6301016678) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MI 6361001766) |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2024-10-04 |