| NPI | 1780337857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6361008087) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MI 6362009474) |
| Enumeration Date | 2022-01-30 |
| Last Update Date | 2025-11-12 |