| NPI | 1154067031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6362009528) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MI 6362009528) |
| Enumeration Date | 2022-05-12 |
| Last Update Date | 2022-05-12 |