| NPI | 1285885244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6361006806) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301013635) |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2022-08-10 |