| NPI | 1700213444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MI 6301017460) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401016676) |
| 103T00000X Psychologist | |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2019-08-06 |