| NPI | 1669740767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301014917) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MI 6301014917) |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2018-03-17 |