| NPI | 1699880815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MI 6301013200) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301013200) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2010-01-27 |