| NPI | 1326139858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY003903) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301012991) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2020-12-07 |