| NPI | 1245852995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6401017151) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301017660) |
| 103TC1900X Psychologist, Counseling (Licence: MI 6401017151) | |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2022-09-07 |