| NPI | 1356475743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301014329) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA RPS2005242) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2021-03-18 |