| NPI | 1124458740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301016938) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TF0000X Psychologist, Family | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| 103K00000X Behavior Analyst (Licence: 1-18-31174) | |
| 103T00000X Psychologist (Licence: MI 6301016938) | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2022-08-11 |