| NPI | 1447981584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 86820) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6352000610) |
| Enumeration Date | 2022-06-20 |
| Last Update Date | 2024-10-07 |