| NPI | 1609319854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6401015671) |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2022-07-13 |