| NPI | 1295123305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6361006305) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6361006305) |
| 103TC0700X Psychologist, Clinical (Licence: MI 6301016033) | |
| Enumeration Date | 2014-12-26 |
| Last Update Date | 2022-03-03 |