| NPI | 1285013979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301019322) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MI 6401014742) |
| 101YP2500X Counselor Professional | |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2024-02-13 |