| NPI | 1114170800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6361006314) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301013842) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2021-08-23 |