| NPI | 1144347741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6361001249) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MI 6301012543) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2025-03-02 |