| NPI | 1629514831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401016366) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301016903) |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2021-03-22 |