| NPI | 1003253253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY004749) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301014633) |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2024-05-17 |