| NPI | 1316427339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6361002070) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6361002070) |
| 103T00000X Psychologist | |
| 103TC0700X Psychologist, Clinical (Licence: MI 6301017564) | |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2024-08-29 |