| NPI | 1437527066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6361007521) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301017086) |
| 103TC1900X Psychologist Counseling | |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2021-07-20 |