| NPI | 1427190602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301013320) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6361004918) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2023-01-10 |