| NPI | 1275417909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TF0200X Psychologist, Forensic (Licence: MI 6301019554) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301019554) |
| 103TC0700X Psychologist, Clinical (Licence: MN LP7111) | |
| 103TF0200X Psychologist, Forensic (Licence: MN LP7111) | |
| Enumeration Date | 2025-08-05 |
| Last Update Date | 2025-08-05 |