| NPI | 1659174670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MI 6401225055) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: TX LPC95909) |
| 103TC1900X Psychologist, Counseling (Licence: GA LPC011263) | |
| Enumeration Date | 2025-03-27 |
| Last Update Date | 2025-05-04 |