| NPI | 1649806480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MI 6362008894) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2020-03-12 |
| Last Update Date | 2024-07-31 |