| NPI | 1700967486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301007083) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6301007083) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2018-06-18 |