| NPI | 1326596222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6361007762) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6361007762) |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2024-02-01 |