| NPI | 1003988528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301009981) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301009981) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2020-02-28 |