| NPI | 1356391304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 103TA0700X Psychologist Adult Development & Aging (Licence: MI 6301003399) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: MI 6301003399) |
| 103TR0400X Psychologist Rehabilitation (Licence: MI 6301003399) | |
| 103T00000X Psychologist (Licence: MI 6301003399) | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2007-07-09 |