| NPI | 1134137979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6361000143) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301010985) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2022-12-11 |