| NPI | 1821419912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MI 6361002922) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6361002922) |
| 103K00000X Behavior Analyst | |
| 103T00000X Psychologist (Licence: MI 6361002922) | |
| Enumeration Date | 2013-12-17 |
| Last Update Date | 2020-12-17 |