| NPI | 1659518629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301014845) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 4101006452) |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2013-07-24 |