| NPI | 1447809439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401019837) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6362001151) |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2023-03-23 |