| NPI | 1871743443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6361004814) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6301014010) |
| 101YM0800X Counselor, Mental Health (Licence: MI 6361004814) | |
| 103TC0700X Psychologist, Clinical (Licence: MI 6361004814) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MI 6361004814) | |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2022-04-25 |