| NPI | 1427351980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: MI 6301014683) |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2022-09-23 |