| NPI | 1154830503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6351004325) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301016761) |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2023-05-03 |