| NPI | 1548355753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301009748) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401005181) |
| 103TS0200X Psychologist, School | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2016-11-11 |