| NPI | 1760084941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6361007610) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401223036) |
| Enumeration Date | 2020-11-12 |
| Last Update Date | 2024-01-22 |