| NPI | 1447802921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301018022) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2022-08-31 |