| NPI | 1396995403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6361000224) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301013875) |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2021-04-29 |