| NPI | 1366685141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301018872) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MI 6301013914) |
| 101YM0800X Counselor, Mental Health (Licence: MI 6301013914) | |
| 103TC0700X Psychologist, Clinical (Licence: MI 6301013914) | |
| 103TC0700X Psychologist, Clinical (Licence: MA 6301013914) | |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2021-07-28 |