| NPI | 1154852192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6361000742) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301016909) |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2023-08-10 |