| NPI | 1093325441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6361007611) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6362008869) |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2021-09-26 |