| NPI | 1336518281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6401009406) |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2019-03-11 |