| NPI | 1407405871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 34051) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103T00000X Psychologist (Licence: MI 6301018024) | |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2023-03-27 |