| NPI | 1245881960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 38452) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301017800) |
| 103T00000X Psychologist (Licence: TX 38452) | |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2024-10-17 |