| NPI | 1811331481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6352000393) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802075503) |
| 103T00000X Psychologist (Licence: MI 6301017586) | |
| Enumeration Date | 2013-04-25 |
| Last Update Date | 2023-04-01 |