| NPI | 1467102814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301019467) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 15183) |
| Enumeration Date | 2022-03-28 |
| Last Update Date | 2025-08-28 |