| NPI | 1194891572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301011082) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401007329) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2012-01-23 |