| NPI | 1346585692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301015008) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: MI SP0000000800668) |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2012-11-27 |