| NPI | 1780713222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401003739) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401003739) |
| 103T00000X Psychologist (Licence: MI 6301008925) | |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2023-03-30 |