| NPI | 1447537261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301016506) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401006448) |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2015-10-26 |