| NPI | 1417380528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: DE B1-0001033) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301015573) |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2015-09-26 |