| NPI | 1013477397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH P.08947) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6351004774) |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2026-05-12 |