| NPI | 1467737650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6401012683) |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2025-01-09 |