| NPI | 1275869653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401008847) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401008847) |
| 103TC0700X Psychologist, Clinical (Licence: MI 6301013036) | |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2025-07-22 |