| NPI | 1841955739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6361008080) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6362009429) |
| 103TC1900X Psychologist, Counseling (Licence: MI 6362009429) | |
| Enumeration Date | 2021-11-04 |
| Last Update Date | 2024-09-19 |