| NPI | 1326452970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6361001388) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301016349) |
| 103TC1900X Psychologist, Counseling (Licence: MI 6301016349) | |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2022-08-04 |