| NPI | 1134827678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301019276) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6351004463) |
| Enumeration Date | 2023-02-22 |
| Last Update Date | 2025-01-16 |