| NPI | 1427527878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301017396) |
| Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent |
| 103TB0200X Psychologist Cognitive & Behavioral | |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2019-01-28 |