| NPI | 1295382836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6361007814) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6352000543) |
| 103TC0700X Psychologist, Clinical (Licence: MI 6301018030) | |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2023-07-06 |