| NPI | 1316387442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301018581) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CT 003330) |
| Enumeration Date | 2013-07-03 |
| Last Update Date | 2021-02-19 |