| NPI | 1144755828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301010039) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301018028) |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2019-11-08 |