| NPI | 1003359530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301019410) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6351004584) |
| 103TC0700X Psychologist, Clinical (Licence: MI 6361001119) | |
| Enumeration Date | 2016-12-01 |
| Last Update Date | 2024-01-25 |