| NPI | 1023588787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6361007316) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301016844) |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2023-02-22 |