| NPI | 1346655594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 6978) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301015388) |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2014-06-26 |