| NPI | 1417337841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MI 6301016830) |
| Additional Taxonomies | 103TF0000X Psychologist, Family (Licence: MI 4101006705) |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2022-08-23 |