| NPI | 1871040311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301010614) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: IN 1484174) |
| 103TC1900X Psychologist, Counseling (Licence: MI 6301010614) | |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |