| NPI | 1699374058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: MI 6362009119) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling |
| Enumeration Date | 2020-10-17 |
| Last Update Date | 2020-10-17 |