| NPI | 1447788062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MI 6301018042) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301018042) |
| 103T00000X Psychologist (Licence: MI 6301017081) | |
| Enumeration Date | 2017-05-26 |
| Last Update Date | 2023-06-14 |