| NPI | 1093943359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301014846) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301014195) |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2024-07-26 |