| NPI | 1285172940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6361006814) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301016679) |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2021-03-01 |