| NPI | 1225383375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6361007506) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301015177) |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2021-04-30 |