| NPI | 1750917910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401020333) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2020-03-19 |
| Last Update Date | 2024-01-09 |