| NPI | 1972010890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6361006534) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MI 6301017271) |
| Enumeration Date | 2017-12-30 |
| Last Update Date | 2022-08-05 |