| NPI | 1952637126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MI 6301014836) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301014836) |
| 103TC0700X Psychologist, Clinical (Licence: IL 071007766) | |
| Enumeration Date | 2009-10-23 |
| Last Update Date | 2025-06-13 |