| NPI | 1558778878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301019738) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 103T00000X Psychologist (Licence: MI 6301019738) | |
| 103T00000X Psychologist (Licence: MI 6351004729) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2025-12-10 |