| NPI | 1275078834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6361005009) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301016916) |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2024-05-20 |