| NPI | 1184177677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401015531) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6401015531) |
| Enumeration Date | 2016-08-01 |
| Last Update Date | 2023-07-24 |