| NPI | 1003047283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MI 6301017124) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA 22510) |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2024-09-17 |