| NPI | 1265862148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MI 6301016189) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2013-11-14 |
| Last Update Date | 2015-01-06 |