| NPI | 1497132047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301014085) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 4101006337) |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2015-05-04 |