| NPI | 1912083825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MI 6301007474) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MI L934427) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2017-02-15 |