| NPI | 1356494900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6301008479) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2018-09-21 |