| NPI | 1548059397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6352001091) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6352001091) |
| 103T00000X Psychologist (Licence: MI 6352001091) | |
| Enumeration Date | 2025-05-06 |
| Last Update Date | 2025-05-07 |