| NPI | 1235413121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6362009487) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 1235413121) |
| Enumeration Date | 2011-10-10 |
| Last Update Date | 2025-12-02 |