| NPI | 1386674497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: GA PSY003892) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301003144) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2020-10-29 |