| NPI | 1932745593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6361007592) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MI 6301018139) |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2024-08-06 |