| NPI | 1033486659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301012554) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: AL 1726) |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2011-11-28 |