| NPI | 1194355826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6451023737) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301018292) |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2024-07-05 |