| NPI | 1124654694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 101YP2500X Counselor, Professional (Licence: MI 6401017669) | |
| Enumeration Date | 2020-03-17 |
| Last Update Date | 2025-02-21 |