| NPI | 1306020037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6361004298) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401009590) |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2024-09-23 |