| NPI | 1780169656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401016755) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301019849) |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2026-04-21 |