| NPI | 1497890164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301015003) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801086136) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2023-08-21 |