| NPI | 1467540294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301013447) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802085142) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2008-03-12 |