| NPI | 1831465533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103T00000X Psychologist (Licence: MI 6301010880) | |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2025-10-16 |