| NPI | 1235807470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301019205) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6351004420) |
| Enumeration Date | 2021-09-02 |
| Last Update Date | 2022-11-02 |