| NPI | 1144499864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6361005132) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301013815) |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2025-01-13 |