| NPI | 1427655794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6061007732) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6362009206) |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2022-08-09 |