| NPI | 1326530155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301019404) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301017429) |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2023-12-20 |