| NPI | 1316612419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6362009347) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6361007891) |
| Enumeration Date | 2021-08-11 |
| Last Update Date | 2024-04-18 |