| NPI | 1598883829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401008053) |
| 103T00000X Psychologist | |
| 103TC0700X Psychologist, Clinical (Licence: MI 6301012072) | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2018-10-17 |