| NPI | 1184124547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6361008117) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CO PSYC.00015011) |
| Enumeration Date | 2018-02-12 |
| Last Update Date | 2024-12-26 |