| NPI | 1790334829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6361007651) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MI 6301017883) |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2026-05-06 |