| NPI | 1093061517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6361003738) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301015176) |
| 103TC1900X Psychologist, Counseling (Licence: MI 6301015176) | |
| Enumeration Date | 2012-08-02 |
| Last Update Date | 2022-08-05 |