| NPI | 1912084310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301012986) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 4101006336) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-07-14 |