| NPI | 1952827933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301018758) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 11219) |
| 103T00000X Psychologist | |
| 103T00000X Psychologist (Licence: MI 6301018758) | |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2021-07-07 |