| NPI | 1053793521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OK 1383) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301016334) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2024-10-05 |