| NPI | 1306499645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301018300) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301017620) |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2023-01-26 |