| NPI | 1326408238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301016872) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301015992) |
| 103TC1900X Psychologist, Counseling (Licence: MI 6301015992) | |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2018-08-20 |