| NPI | 1326460734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6351000977) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301014394) |
| 103TC0700X Psychologist, Clinical (Licence: MI 6301017258) | |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2024-04-12 |