| NPI | 1659585644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301014099) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MI 6301014099) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2026-07-01 |