| NPI | 1689709107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301008988) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401002550) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2013-03-13 |