| NPI | 1275558264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI CNS 6401005658) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MI LLP6301009372) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2023-07-10 |