| NPI | 1316074297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MI 6361000995) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301011697) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2023-03-17 |