| NPI | 1235575077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MI 6301008505) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802009067) |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2013-05-20 |