| NPI | 1124061874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH 3658) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301006244) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2023-02-21 |