| NPI | 1205116639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301007589) |
| Additional Taxonomies | 103TA0700X Psychologist Adult Development & Aging (Licence: MI 6301007589) |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: MI 6301007589) | |
| 103TC0700X Psychologist Clinical (Licence: MI 6301007589) | |
| 103TC1900X Psychologist Counseling (Licence: MI 6301007589) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: MI 6301007589) | |
| 103TF0000X Psychologist Family (Licence: MI 6301007589) | |
| 103TH0004X Psychologist Health (Licence: MI 6301007589) | |
| 103TH0100X Psychologist Health Service (Licence: MI 6301007589) | |
| 103TM1800X Psychologist Mental Retardation & Developmental Disabilities (Licence: MI 6301007589) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: MI 6301007589) | |
| 103TS0200X Psychologist School (Licence: MI CC-3C4770033286) | |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2017-08-25 |