| NPI | 1831744697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: none) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6362009330) |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2025-05-01 |