| NPI | 1386639870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301016704) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY6399) |
| 103T00000X Psychologist (Licence: MT 390) | |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2023-09-18 |