| NPI | 1952830440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301019657) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: MI SP0000000980836) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2025-07-15 |