| NPI | 1417196999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6361005669) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MI 6301013811) |
| Enumeration Date | 2009-02-06 |
| Last Update Date | 2023-04-06 |