| NPI | 1295332773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6361007733) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6362009202) |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2023-05-09 |