| NPI | 1417181322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301014475) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802080970) |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2014-04-07 |