| NPI | 1386098879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MI 6301018343) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301015301) |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2021-05-19 |