| NPI | 1174941918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301018775) |
| Additional Taxonomies | 101Y00000X Counselor |
| 103TC0700X Psychologist, Clinical (Licence: WY 651) | |
| 103TC0700X Psychologist, Clinical (Licence: IN 20043500B) | |
| Enumeration Date | 2014-03-30 |
| Last Update Date | 2022-08-24 |