| NPI | 1265479828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301008368) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301008368) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2022-07-20 |