| NPI | 1356112858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MI 6301018014) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301018014) |
| Enumeration Date | 2024-01-12 |
| Last Update Date | 2024-03-08 |