| NPI | 1316307424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6351001739) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301017232) |
| 103T00000X Psychologist (Licence: MI 6301015774) | |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2023-08-09 |