| NPI | 1316312325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6361003075) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MI 6301016365) |
| Enumeration Date | 2015-12-02 |
| Last Update Date | 2020-10-16 |