| NPI | 1558880666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6362004421) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 103TC0700X Psychologist, Clinical (Licence: MI 6301017644) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2020-04-30 |