| NPI | 1285961532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301014556) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301013975) |
| Enumeration Date | 2009-11-06 |
| Last Update Date | 2023-03-13 |