| NPI | 1548745441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MI 6361007589) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401019113) |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2024-03-06 |